Provider Demographics
NPI:1831220219
Name:CLIFT, CYNDA JO (RN)
Entity type:Individual
Prefix:MS
First Name:CYNDA
Middle Name:JO
Last Name:CLIFT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7828 WHITE MOUNTAIN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901-8606
Mailing Address - Country:US
Mailing Address - Phone:928-537-0909
Mailing Address - Fax:928-537-0909
Practice Address - Street 1:WHITERIVER UNIFIED SCHOOL DISTRICT, ALCHESAY HIGH SCHOO
Practice Address - Street 2:59 S. CHIEF AVE
Practice Address - City:WHITERIVER
Practice Address - State:AZ
Practice Address - Zip Code:85941
Practice Address - Country:US
Practice Address - Phone:928-338-4848
Practice Address - Fax:928-338-4840
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN126504163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool